Lacey Modern Dentistry Dental Clinic

Get detailed information about Lacey Modern Dentistry dental clinic in Irvine California.
Lacey Modern Dentistry (WASHINGTON DENTAL CORPORATION, PC) is a Dental Clinic - General Practice in Lacey, Washington. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Lacey Modern Dentistry is 1992183339.

The current location address for Lacey Modern Dentistry is 5122 Yelm Hwy Se, Suite E, Lacey, Washington and the contact number is 360-528-7878 and fax number is 360-528-7754. The mailing address for Lacey Modern Dentistry is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - 714-845-8890).


Provider Profile Details:
Clinic NameLacey Modern Dentistry
Provider OrganizationWASHINGTON DENTAL CORPORATION, PC
Address5122 Yelm Hwy Se, Suite E,
Lacey
Washington, 98503-5034
Phone Number360-528-7878
Fax Number360-528-7754
Authorized Official NameDr. Brian S Bienstock
Authorized Official Title/PositionOwner
Authorized Official Contact Number360-528-7878
NPI Number Details:
NPI Number1992183339
Provider Enumeration Date05/18/2015
Last Update Date06/03/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number714-845-8890
Fax Number949-474-1495
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist - General Practice
Taxonomy1223G0001X

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